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膝关节囊肿的综合分析:诊断与治疗

Comprehensive analysis of knee cysts: diagnosis and treatment.

作者信息

Hasan Mahmod, Berkovich Yaron, Sarhan Bilal, Steinfeld Yaniv, Ginesin Eyal, Hijaze Sobhe, Sleiman Ali, Yonai Yaniv

机构信息

Department of Orthopedic Surgery at Carmel Hospital in Haifa, P.O. Box 2166, 0030012, Haifa, I'billin, Israel.

Department of Orthopedic Surgery at Carmel Hospital in Haifa, Technion Faculty of Medicine in Haifa, Haifa, Israel.

出版信息

Knee Surg Relat Res. 2025 May 14;37(1):23. doi: 10.1186/s43019-025-00269-2.

Abstract

Knee cysts are a common finding in orthopedic practice, with diagnoses that range from benign fluid collections to more complex lesions requiring intervention. This comprehensive review explores the types of cysts around the knee, including popliteal (Baker's) cysts, meniscal cysts, proximal tibiofibular joint cysts, and ganglion cysts within the cruciate ligaments. The review highlights the mechanisms of formation, clinical presentations, diagnostic methods, differential diagnoses, and treatments for each cyst type. Imaging, particularly MRI, plays a critical role in accurate diagnosis, helping differentiate cysts from other pathologies, such as tumors and vascular lesions. Treatment options vary, from conservative management for asymptomatic cases to surgical interventions, such as arthroscopic cyst removal, for symptomatic cysts or those associated with intra-articular pathologies. Emerging biological treatments, including platelet-rich plasma (PRP) and mesenchymal stem cell (MSC) therapies, show promise for addressing underlying joint degeneration and inflammation associated with certain cysts, particularly those linked to osteoarthritis. This review underscores the importance of tailored, evidence-based approaches in managing knee cysts to optimize patient outcomes. Keywords: Knee Cysts, Popliteal Cyst, Meniscal Cyst, Proximal Tibiofibular Joint Cyst, Joint Pathology.

摘要

膝关节囊肿是骨科临床常见的病症,其诊断范围涵盖从良性积液到需要干预的更复杂病变。本综述全面探讨了膝关节周围囊肿的类型,包括腘窝(贝克氏)囊肿、半月板囊肿、胫腓近端关节囊肿以及十字韧带内的腱鞘囊肿。该综述重点介绍了每种囊肿类型的形成机制、临床表现、诊断方法、鉴别诊断及治疗方法。影像学检查,尤其是磁共振成像(MRI),在准确诊断中起着关键作用,有助于将囊肿与其他病变,如肿瘤和血管病变区分开来。治疗方案各不相同,无症状病例采用保守治疗,有症状的囊肿或与关节内病变相关的囊肿则采用手术干预,如关节镜下囊肿切除术。新兴的生物治疗方法,包括富血小板血浆(PRP)和间充质干细胞(MSC)疗法,有望解决与某些囊肿相关的潜在关节退变和炎症问题,尤其是与骨关节炎相关的囊肿。本综述强调了采用个性化、循证方法管理膝关节囊肿以优化患者治疗效果的重要性。关键词:膝关节囊肿、腘窝囊肿、半月板囊肿、胫腓近端关节囊肿、关节病变

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